Form of Valuation of Estate

(See sections 52 and 53). Form of Valuation (to be used with such modifications, if any, as may be necessary) of Estate. IN THE COURT OF RE: PROBATE OF THE WILL OF OR ADMINISTRATION OF THE ESTATE OF ), DECEASED. 1. I (A.B.) , solemnly affirm/make oath and say that I am the executor (or one of the executors or one of the next-of-kin) of deceased, and that I have truly set forth in Annexure A to this Form of Valuation all the estate of which the above named deceased died possessed or to which he was entitled at the time of his death, and which has come or is likely to come, to my hands. 2. I further say that I have also truly set forth in Annexure B to this Form of Valuation all the items which I am by law allowed to deduct. 3. I further declare that the said estate exclusive only of the last was on the date of the death of the said deceased mentioned items ________________________________________________________________ under is the value of 4. I (A.B.) further declare that what is stated in this Form of Valuation is true to the best of my information and belief. (signed) A.B.------